PAMELA LEE WALTERS (NPI# 1003307711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003307711 |
| Entity Type | Individual |
| Full Name | PAMELA LEE WALTERS |
| Credential | LMT |
| Practice Address |
209 Broadway Amityville NY 11701-2705 |
| Practice Telephone | 6316910200 |
| Mailing Telephone | 6316910200 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 006973-1 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225700000X | Massage Therapist | 006972-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346711 | Pamela Jean Walters | Occupational Therapist | 849 Jeffco Blvd, Arnold, MO 63010-1409 | 2018-05-11 |
| 1528490208 | Pamela R Walters | Nurse Practitioner | 3200 S Water St, Pittsburgh, PA 15203-2307 | 2013-08-05 |
| 1235146671 | Pamela A Walters | Emergency Medicine | 111 S Front St, Harrisburg, PA 17101 | 2006-08-01 |
| Street Address |
209 BROADWAY |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 11701-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328004 | Kristin Gnieski Muehlbauer | Massage Therapist | 209 Broadway, Amityville, NY 11701-2705 | 2016-11-01 |
| 1073111308 | Dong Han Lee | Massage Therapist | 209 Broadway, Amityville, NY 11701-2705 | 2020-10-09 |
| 1306491014 | Santos Susana Rivas-zavala | Massage Therapist | 209 Broadway, Amityville, NY 11701-2705 | 2019-08-08 |
| 1154880367 | Brianna Marie Mancini | Massage Therapist | 209 Broadway, Amityville, NY 11701-2705 | 2019-03-18 |
| 1770095226 | Devin Blaine | Acupuncturist | 209 Broadway, Amityville, NY 11701-2705 | 2017-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427400 | Katya Cabrera | Licensed Practical Nurse | 8 Coolidge Ave, North Amityville, NY 11701 | 2017-10-11 |
| 1750800405 | Laura M Sabatino-jan | Nurse Practitioner | 65 S. Emerson Avenue, Amity Harbor, NY 11701 | 2017-09-13 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| 1588193874 | Allison Herzog | Specialist | 41 Terry Avenue, Amityville, NY 11701 | 2017-06-08 |
| 1962949677 | Sherlin Golbari | Physician Assistant | 317 Broadway Suite A, Amytyville, NY 11701 | 2017-01-20 |
| 1598129710 | Yoko Shiraiwa | Nurse Practitioner | 78 Ocean Avenue, Amityville, NY 11701 | 2016-04-13 |
| 1891158820 | Grace Ann Budde | Health Educator | 30 S Ireland Pl, Amityville, NY 11701 | 2016-03-29 |
| 1720445497 | Sabrina A Rahman | Pharmacist | 355 A Broadway, Amityville, NY 11701 | 2016-01-26 |
| 1902245335 | Darlene Marie Mccurty | Specialist | 125 Larsen Dr, Amityville, NY 11701 | 2013-06-19 |
| 1457613507 | Edria Parks | Specialist | 14 Wanser Pl, Amityville, NY 11701 | 2012-06-14 |
| Find all providers in zip 11701 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554744 | Ruth Pierre | Massage Therapist | 119 Cedar Rd, Amityville, NY 11701-1326 | 2020-09-29 |
| 1609328004 | Kristin Gnieski Muehlbauer | Massage Therapist | 209 Broadway, Amityville, NY 11701-2705 | 2016-11-01 |
| 1467761171 | Mind Body Breath Massage Therapy | Massage Therapist | 42 Merrick Rd, Amityville, NY 11701 | 2010-09-29 |
| 1073111308 | Dong Han Lee | Massage Therapist | 209 Broadway, Amityville, NY 11701-2705 | 2020-10-09 |
| 1306491014 | Santos Susana Rivas-zavala | Massage Therapist | 209 Broadway, Amityville, NY 11701-2705 | 2019-08-08 |
| 1154880367 | Brianna Marie Mancini | Massage Therapist | 209 Broadway, Amityville, NY 11701-2705 | 2019-03-18 |
| 1265935605 | Darcel Colon | Massage Therapist | 491 Broadway, Amityville, NY 11701-2120 | 2018-03-12 |
| 1801271283 | Wendy J Morgan | Massage Therapist | 320 Merrick Rd Ste 3, Amityville, NY 11701-3440 | 2015-07-27 |
| 1720415003 | Gina Marie Caruso | Massage Therapist | 320 Merrick Rd Ste 3, Amityville, NY 11701-3440 | 2013-10-02 |
| 1265874986 | Claire Marie Miller | Massage Therapist | 320 Merrick Rd Ste 3, Amityville, NY 11701-3440 | 2013-07-23 |
| Find all providers in AMITYVILLE | ||||
| City | AMITYVILLE |
| Zip Code | 11701 |
Please comment or provide details below to improve the information on PAMELA LEE WALTERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.